2012

Joining Forms
Bennett, Coleman & Co. Ltd

BCCL Human Resources

COLEMAN & COMPANY LTD Check List of Documents to be filled up on joining               Form for Identity Card ( with one passport size photograph ) Joining Report ( to be signed by your department head ) Application Blank ( with one passport size photograph ) Gratuity Form Provident Fund Forms Family Pension Form Group Term Life Nomination Form Proof of Birth ( Birth Certificate / Xth Certificate)* Photocopies of Educational Certificates ( School. Post Graduation )* Relieving Letter From The Last Company / Accepted Copy Of Resignation Letter ( On A Letterhead ) Copy of Last Salary Slip* Copy of PAN Card* (If you do not have PAN Card then you will need to submit an alternative Identity Proof and a copy of acknowledgement of PAN application) Copy of Address Proof* HDFC Bank Forms (to be submitted in duplicate to the HDFC bank representative with address & identity proof along with 1 recent colored passport size photograph) * All photocopies must be self attested Page 2 of 13 BCCL Human Resources Putting People First .BENNETT. Graduation.

10. 4. 7. 3. 5. Birth Certificate SSLC Book/Certificate Passport Certificate of Date of Birth issued by Group A Gazetted Officer on letterhead Class X certificate Page 3 of 13 BCCL Human Resources Putting People First . 8. 16. 13. 4. 12. 11. 3. 5. Passport Bank Statement/ Passbook Post Office Account Statement/Passbook Ration Card Voter ID Government Photo ID cards Electricity Bill (not older than 3 months) Water bill (not older than 3 months) Telephone Landline Bill (not older than 3 months) Property Tax Receipt (not older than 3 months) Signed Letter having Photo from Bank on letterhead Kissan Passbook Income Tax Assessment Order Registered Sale / Lease / Rent Agreement Address Card having Photo issued by Department of Posts Caste and Domicile Certificate having Photo issued by State Govt. 4. 3. Supporting documents acceptable as Date of Birth 1. 7. Passport PAN Card Ration/ PDS Photo Card Voter ID Driving License Government Photo ID Cards Kissan Photo Passbook Address Card having Name and Photo issued by Department of Posts Supporting documents acceptable as Proof of Address 1. 2. 14. 8. 2. 6. 6. 15. COLEMAN & COMPANY LTD List of Documents Accepted as Proof of Identity and Address Supporting documents acceptable as Photo Identity 1. 2.BENNETT. 9. 5.

COLEMAN & COMPANY LTD Application Form for Permanent ID Card Affix your Passport Size Photo Signature WRITE IN BLOCK LETTERS Name of the Employee ABHISHEK KAPOOR Department RMD Emp No.BENNETT. 09415565648 Page 4 of 13 BCCL Human Resources Putting People First . Blood Group O- Emergency Contact No.

............................................BENNETT................... ........ Designation: .. All documents submitted: Yes/No Name of the HR Processor SAP ID Designation Signature Page 5 of 13 BCCL Human Resources Putting People First ................................Date of Joining:………………………… Section 2: TO BE FILLED BY DEPARTMENT HEAD This is to certify that Mr/Ms....... Offer Letter Issue Date:12-2-2013........ COLEMAN & COMPANY LTD Joining Report Section 1: EMPLOYEE DETAILS Employee Name: ........................................RMD.......................................................... SAP ID Allotted ................ has joined our department on the date as stated above and shall finally be placed at the following location:             Times House Darya Ganj West Delhi Other (Please specify) Sahibabad Faridabad Gurgaon Noida Meerut Raipur Agra Panipat Name of the Department Head SAP ID Designation Signature Section 3: TO BE FILLED BY CORPORATE HR Joining Report received on ... Department:...........Abhishek Kapoor............ Management Trainee........................

whose particulars are given in the statement below. 5.. Signature of Employee: Date: Authorized Signatory: Page 6 of 13 BCCL Human Resources Putting People First . Bennett Coleman & Co. 1972. My father.. COLEMAN & COMPANY LTD The Times Gratuity and Retirement Fund (Sub Rule (1) of Para A) NOMINATION (Form 7) 1. 3.RAJIVE KAPOOR 2. 7. mother or parents is/are not dependent on my husband.Executive (7) Date of appointment: (8) Permanent Address:D-1/337 Sector-F Jankipuram(Lucknow) Post Office: District:Lucknow Place Date Nomination signed/thumb impression before me Witness 1 Name Full Address Signature Place Date Lucknow Signature of the Employee Witness 2 Name Full Address Signature Place Date Village: Thana:Madiyaon State:Uttar Pradesh Certificate by the Employer The particulars of the above nomination has been verified and seconded in the nomination. Age of the Proportion by which the quantity Name in full with full details of nominee Relationship with the employee nominee will be shared 1.. If any. Nomination made herein invalidates my previous…………………………. W Section–2 of the said Act 4. mother. hereby nominate the person(s) mentioned below to receive the gratuity payable after my death as also the gratuity standing to my credit in the event of my death before the amount has become payable or having become payable has not been paid and direct that the said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).clause (h) of Section-2 of the………………… 6. parents is/are not dependent on me b. I hereby declare that I have no family within the………………………………. Bahadurshah Zafar Marg. Ltd. a. New Delhi Date: Authorized Signatory: Acknowledgement by the Employee Received the duplicate copy of nomination in Form-F filed by me and duly certified by the employee. 2.Nominee(s). I have excluded my husband from my family by a………………………………to the controlling authority in terms of the ………………………. Shri/Shrimati/Kumari (Name in full here):……ABHISHEK KAPOOR……………………………………………………. I hereby certify that the person(s) is the member(s) of my family within the meaning of clause (h) of Section-2 of the payment of Gratuity Act.BENNETT. My husband’s father. (1) Name of the employee: Abhishek kapoor FATHER 61 50% MOTHER (2) Sex:Male 56 (3) Religion:Hindu 50% (4) Whether married/Unmarried widow/widower:Unmarried (5) Department/Branch/Section where employed:RMD (6) Post held with Ticket No:/Serial No.SHOBHA KAPOOR 3.

A (EPF) I hereby nominate the person(s) / cancel the nomination made by me previously and nominate the person(s). Date of Birth : ____15-12-1989_________________ 4. name & relationship & address of the guardian who may receive the amount during the minority of nominee 1 2 3 4 5 6 1. Marital Status : __UNMARRIED______(Married/Unmarried/Widow/Widower) 6. Address (Permanent):D-1 /337 SECTOR-F JANKIPURAM LUCKNOW (226021)______________________ ______________________________________________________________________________________________ Address (Temporary):__M-137 JAGAT RAM PARK LAXMI NAGAR(110092) ______________________________________________________________________________________________ PART . Father's / Husband's Name _RAJIVE KAPOOR________________________ 3. 1952 & paragraph 18 of the Employees' Pension Scheme.Mrs Shobha Kapoor D-1/337 Sector-F Jankipuram Lucknow(226021) Father Mother 20-8-1951 18-6-1956 50% 50% 1.:___________________ Group No. 2.MR. Rajive kapoor 2. MH/1199/EXEMPTED/ 7. Page 7 of 13 BCCL Human Resources Putting People First . Name (In Block Letters) ABHISHEK KAPOOR________________________________ 2. 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled. Account No. COLEMAN & COMPANY LTD Company_____________Pay ID No. * Certified that my father / mother is / are dependent upon me.:_______________ Office at ____________________ 1. 1995) for office use only Inward No.____________________Department _______________ Location _____________ FORM 2 (REVISED) NOMINATION AND DECLARATION FORM FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS Declaration and Nomination Form under the Employee's Provident Funds & Employee's Pension Scheme (Paragraph 33 & 61 (1) of the Employeess' Provident Fund Scheme.BENNETT. Sex : _____MALE________( Male / Female ) 5. in the event of my death : Total amount of share of accumulatio n in Provident Fund to be paid to each nominee Name of the Nominees Address Nominee's relationship with the member Date of Birth If the nominee is a minor. mentioned below to receive the amount standing to my credit in the Employees' Provident Fund. * Certified that I have no family as defined in para 2(g) of the Employee's Provident Fund Scheme.

as defined in para 2 (vii) of the Employees's Pension Scheme. COLEMAN & COMPANY LTD _________________________ *Srike out whichever is no applicable _______________________________________ Signature or thumb impression of the subscriber PART . Shobha Kapoor 18-6-1956 Mother * Certified that I have no family. 1 1./Kum. ________________________________________ Signature or thumb impression of the subscriber CERTIFICATE BY EMPLOYER Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri/Smt.B ( EPS ) Para 18 I hereby furnish below particulars of the members of my family who whould be eligible to receive widow / children Pension in the event of my death. Name & Address of the nominee 1 Date of Birth 2 Relationship with the member 3 Date___________________ *Srike out whichever is not applicable. 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form. Rajive kapoor Name of the family member 2 Address 3 D-1/337 Sector F jankipuram Lucknow(226021) Date of Birth 4 20-8-1951 Father Relationship with member 5 2. Sr No._________________________________________________________________employed in my establishment after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her. Date: ___________________ Place: __________________ Page 8 of 13 ____________________________________ Signature of the employer or other Authorised Officer of the establishment Designation __________________________ BCCL Human Resources Putting People First .BENNETT. I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 (2) (a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension.

MH/1199/EXEMPTED/ 7. 2. name & relationship & address of the guardian who may receive the amount during the minority of nominee 1 1. 1995) for office use only Inward No. Account No.____________________Department __RMD_____________ Location _____________ FORM 2 (REVISED) NOMINATION AND DECLARATION FORM FOR UNEXEMPTED / EXEMPTED ESTABLISHMENTS Declaration and Nomination Form under the Employee's Provident Funds & Employee's Pension Scheme (Paragraph 33 & 61 (1) of the Employeess' Provident Fund Scheme.Shobha kapoor 2 D-1/337 Sector F jankipuram Lucknow(226021) 3 Father Mother 4 20-8-1951 18-6-1956 5 50% 50% 6 1. _________________________ _______________________________________ Page 9 of 13 BCCL Human Resources Putting People First . * Certified that my father / mother is / are dependent upon me.:___________________ Group No. 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled. in the event of my death : Total amount of share of accumulation in Provident Fund to be paid to each nominee Name of the Nominees Address Nominee's relationship with the member Date of Birth If the nominee is a minor. Date of Birth : _15-12-198_________________ 4. Company__BCCL___________Pay ID No.Mr. Father's / Husband's Name RAJIVE KAPOOR_______________________________________ 3. COLEMAN & COMPANY LTD Name & Address of the Factory / Establishment or Rubber Stamp thereof.:_______________ Office at ____________________ 1.Mrs.BENNETT. 1952 & paragraph 18 of the Employees' Pension Scheme. Address (Permanent):___ D-1/337 Sector F jankipuram Lucknow(226021) ______________________________________________________________________________________________ Address (Temporary):____ M-137 JAGAT RAM PARK LAXMI NAGAR(110092) ______________________________________________________________________ PART .A (EPF) I hereby nominate the person(s) / cancel the nomination made by me previously and nominate the person(s).Rajive Kapoor 2. Marital Status : UNMARRIED__(Married/Unmarried/Widow/Widower) 6. Sex :MALE _____________________( Male / Female ) 5. Name (In Block Letters) __ABHISHEK KAPOOR______________________________________ 2. * Certified that I have no family as defined in para 2(g) of the Employee's Provident Fund Scheme. mentioned below to receive the amount standing to my credit in the Employees' Provident Fund.

Mr.Shobha kapoor Name of the family member 2 Address 3 Date of Birth 4 Relationship with member 5 Father D-1/337 Sector F jankipuram Lucknow(226021) Mother 20-8-1951 18-6-1956 50% 50% * Certified that I have no family. COLEMAN & COMPANY LTD *Srike out whichever is no applicable Signature or thumb impression of the subscriber PART ./Kum. 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form.B ( EPS ) Para 18 I hereby furnish below particulars of the members of my family who whould be eligible to receive widow / children Pension in the event of my death. ________________________________________ Signature or thumb impression of the subscriber CERTIFICATE BY EMPLOYER Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri/Smt. as defined in para 2 (vii) of the Employees's Pension Scheme. Date: ___________________ ____________________________________ Signature of the employer or Page 10 of 13 BCCL Human Resources Putting People First . Name & Address of the nominee 1 Date of Birth 2 Relationship with the member 3 Date___________________ *Srike out whichever is not applicable. I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 (2) (a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension._________________________________________________________________employed in my establishment after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her.Mrs. 1 1.BENNETT.Rajive Kapoor 2. Sr No.

Page 11 of 13 BCCL Human Resources Putting People First .BENNETT. COLEMAN & COMPANY LTD Place: __________________ other Authorised Officer of the establishment Designation __________________________ Name & Address of the Factory / Establishment or Rubber Stamp thereof.

COLEMAN & COMPANY LTD Nomination Form: Group Term Life Cover I hereby nominate the beneficiaries mentioned below to receive the amount under the Company’s policy on Group Term Life Cover.Shobha kapoor.Rajive Kapoor. SAP ID : Signature of the Employee: Full Name of the Employee: ABHISHEK KAPOOR Designation : Department : Management Trainee Location: RMD Date: Page 12 of 13 BCCL Human Resources Putting People First . D-1/337 Sector F jankipuram Lucknow(226021) 09415565648 Father 20-8-1951 50% 2 Mrs. name & relationship & address of the guardian who may receive the amount during the minority of Beneficiary 1 Mr. D-1/337 Sector F jankipuram Lucknow(226021) 09369272505 Mother 18-6-1956 50% 3 4 This nomination supersedes all my previous nomination declarations for benefit under the Group Term Cover Policy of the Company.BENNETT. in the event of my death: Name. Address and Phone of the Beneficiaries Beneficiary's relationship with the member Date of Birth of the Beneficiary %age share of the total compensation to be paid to the Beneficiary If the Beneficiary is a minor.

bilal@timesgroup.com] Page 13 of 13 BCCL Human Resources Putting People First . [Please provide separate account numbers.BENNETT. given below: Type of Account SALARY REIMBURSEMENTS Existing HDFC A/C No. COLEMAN & COMPANY LTD Request for Using Existing HDFC Bank Savings Account as Salary Account HRD/Payroll New Delhi Subject: Transfer of Salary to HDFC Account Please transfer my monthly salary & conveyance to the following HDFC Account No. in case you have opened two accounts with HDFC] Name: Pay ID / SAP ID: Signature: Date: [You may also mail the above information to mohd.